Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $754.01 / $3,889.00 / $10,651.00	Facility		$754.01	$3,889.00	$10,651.00
Denver HMP Facility/Professional Facility Modifier Low / Median / High Price $162.69 / $222.83 / $292.83	Facility		$162.69	$222.83	$292.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $178.80 / $241.62 / $322.16	Professional		$178.80	$241.62	$322.16
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $5.15 / $5.15 / $5.15	Professional	80	$5.15	$5.15	$5.15
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $4.38 / $4.38 / $4.38	Professional	AS	$4.38	$4.38	$4.38
United Facility/Professional Facility Modifier Low / Median / High Price $3,804.00 / $8,689.00 / $15,722.00	Facility		$3,804.00	$8,689.00	$15,722.00